Medicade in a pitfall

This is only the opinion of one man if you have a different opinion post it up here, let everyone know what you think of Trump's bill.

So our president wants to put medicade in a place where in most states cases it will not be able to support itself. Only giving so much money to each state without accounting for increase in use or higher bills each year or increase in anything, just a set amount. Here's what npr.org says the bill will do...

          " People under 26

AFFORDABLE CARE ACT (OBAMACARE)
Can get insurance through a parent’s plan or buy independently.
HOUSE: AMERICAN HEALTH CARE ACT
Stays the same.
SENATE: BETTER CARE RECONCILIATION ACT
Stays the same.
Adults under 65

AFFORDABLE CARE ACT (OBAMACARE)
Can buy insurance on health exchanges, with tax credits and subsidies if they meet income requirements up to 400 percent of poverty level. Cost of insurance is based on tobacco use and age, with the people nearing 65 paying no more than three times what the youngest pay. Premiums can’t cost more than 9.5 percent of income. Those with very low or no income qualify for Medicaid.
HOUSE: AMERICAN HEALTH CARE ACT
Will see tax credits to pay premiums based on age, not income, and that max out at $4,000, much less than under the ACA. The oldest people under 65 can be charged five times more than the youngest, and maybe more depending on state rules. Medicaid cut after 2020.
SENATE: BETTER CARE RECONCILIATION ACT
The CBO report says 22 million people would lose health insurance over the next 10 years, with people between 50 and 64 disproportionally impacted. The oldest people under 65 would pay five times more than younger people on the exchanges. Subsidies to help pay for insurance would be less and end at incomes of 350 percent of poverty level. Federal contributions to Medicaid start to decline in fiscal year 2020.
July 13 update: New draft would let subsidies be used to buy plans that offer only catastrophic care and would let consumers use health savings accounts to pay premiums.
Low-income nursing home residents

AFFORDABLE CARE ACT (OBAMACARE)
Skilled nursing care covered by Medicare up to 100 days per illness. Medicaid is available based on income.
HOUSE: AMERICAN HEALTH CARE ACT
Skilled nursing care covered by Medicare up to 100 days per illness. Medicaid services or payments to nursing homes could be cut as states see federal funding decline.
SENATE: BETTER CARE RECONCILIATION ACT
Skilled nursing care covered by Medicare up to 100 days per illness. Medicaid coverage for nursing home services and payments to nursing homes could be cut as federal payments to states decline.
People with pre-existing medical conditions

AFFORDABLE CARE ACT (OBAMACARE)
Coverage cannot be denied or cost more.
HOUSE: AMERICAN HEALTH CARE ACT
States can get permission to let insurers charge more for some pre-existing conditions and to exclude some people altogether. States would have access to federal money to help those with expensive policies or conditions.
SENATE: BETTER CARE RECONCILIATION ACT
Insurance companies would be required to accept all applicants regardless of health status. But the draft bill lets states ask permission to reduce required coverage, also called “essential health benefits,” which would give insurers some discretion over what they offer in their plans. That could result in “substantial increases” in costs for people who want those services, according to the CBO. If a particular benefit is no longer classified as essential, insurers could impose annual and/or lifetime limits on what they spend on patients for that benefit. And caps on the annual out-of-pocket costs for patients would no longer apply.
July 13 update: New language would end protections for people with pre-existing conditions by letting insurance companies sell plans that don’t include the ACA’s essential health benefits, as long as an insurer also offers a plan with those benefits on the exchange. Analysts and insurers warn that this could create two markets, one for sick people who need more benefits and one for healthy people who need fewer. That would drive the cost of insurance much higher for people who want more benefits, including people with pre-existing conditions. Subsidies would be available for lower-income people to buy a comprehensive plan, but out-of-pocket costs would still go up for them, probably by a lot.
People who go to Planned Parenthood

AFFORDABLE CARE ACT (OBAMACARE)
Federal programs reimburse for most Planned Parenthood services.
HOUSE: AMERICAN HEALTH CARE ACT
A one-year block will be placed on federal reimbursements for care provided by Planned Parenthood.
SENATE: BETTER CARE RECONCILIATION ACT
A one-year block will be placed on federal reimbursements for care provided by Planned Parenthood. The CBO estimates 15 percent of women would lose access to family planning care, increasing birthrates and Medicaid spending for childbirth and children’s insurance. But those increases would be offset by Planned Parenthood cuts.
People with disabilities

The majority of Medicaid dollars go to people with disabilities.

AFFORDABLE CARE ACT (OBAMACARE)
May qualify for Medicare and also Medicaid.
HOUSE: AMERICAN HEALTH CARE ACT
Services covered by Medicaid could be cut as federal funding to states declines over time.
SENATE: BETTER CARE RECONCILIATION ACT
Services covered by Medicaid could be cut as federal funding to states declines over time. The CBO report suggests that by 2026, Medicaid enrollment would fall by more than 15 million people.
People who use mental health services

AFFORDABLE CARE ACT (OBAMACARE)
Covered by all plans under essential health benefits.
HOUSE: AMERICAN HEALTH CARE ACT
Could lose coverage in states that get waivers from covering essential health benefits.
SENATE: BETTER CARE RECONCILIATION ACT
States could request waivers to opt out of requiring essential health benefits. If a state opted out of coverage for mental health care, insurance that includes mental health care coverage could become “extremely expensive,” the CBO says.
Working poor on Medicaid

AFFORDABLE CARE ACT (OBAMACARE)
Thirty-one states and the District of Columbia offer expanded Medicaid coverage.
HOUSE: AMERICAN HEALTH CARE ACT
Federal funding for Medicaid expansion phases out, potentially affecting millions of people who are currently enrolled under the expansion.
SENATE: BETTER CARE RECONCILIATION ACT
Federal funding for Medicaid expansion phases out between 2021 and 2023. In addition, eight states would have a trigger clause — if the federal matching rate declines below the ACA-promised rates, the expansion goes away immediately in Arkansas, Illinois, Indiana, Michigan, Montana, New Hampshire, New Mexico, and Washington. Further reductions would start in 2025. In a separate provision, states could impose a work requirement on recipients. Most able-bodied adult Medicaid recipients already work.
The wealthy

AFFORDABLE CARE ACT (OBAMACARE)
Pay extra taxes to support ACA.
HOUSE: AMERICAN HEALTH CARE ACT
The bill would repeal ACA taxes on corporations and cut taxes for the wealthy by about $592 billion.
SENATE: BETTER CARE RECONCILIATION ACT
Similar to the House bill; would repeal ACA taxes on corporations and the wealthy that pay for insurance subsidies. That would add up to about $563 billion in tax cuts over 10 years, according to the CBO.
July 13 update: The revised version keeps some of the ACA’s taxes on higher-income people. But the permission for flexible spending accounts to be used for premium payments will be a tax advantage for those who can afford to put money aside in those accounts."

This doesn't look good. For the elderly and the disabled this is a horrible bill. It's going to do nothing for our economy just the rich getting richer. Providing less for the same pay. Welcome to America the land of the enterprises and there the President making sure the man gets everything and the people get nothing or substantially less then before.

And hardly anybody says anything bad about our president who thinks he is always right. Saying our news and media are all wrong when talking about him. I doubt there wrong just scared of him, which is understandable but he is just a man, prone to mistakes as any other human. But I really think America is making a mistake keeping him as president. He doesn't have Americas people at heart. Look at his wife she doesn't even look happy half the time. Sorry cheap shot but it's not a lie.

Luckily it could be easily derailed, only 1 more no vote needed to kill the bill, let's hope someone steps forward. 






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